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Individual

SA LU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
701 N CLAYTON ST, SUITE 407, WILMINGTON, DE 19805-3165
(302) 366-7665
(302) 366-0734
Mailing address
252 CHAPMAN RD, SUITE 150, NEWARK, DE 19702-5436
(302) 366-7665
(302) 366-0734

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG0000466
DE

Other

Enumeration date
07/10/2008
Last updated
07/11/2008
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